Abstract
This paper critiques changes in the diagnositic criteria for the paraphilias as set out in the DSM-5. In addition to general areas of concern, five specific problem areas are identified. This includes: definitions by exclusion; culturally based criteria; ignoring etiology; minimizing consent issues; and lack of field trials. A suggestion to improve the diagnostic criteria is offered.
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Papers of particular interest, published recently, have been highlighted as: •• Of major importance
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Conflict of Interest
J. Paul Fedoroff has in the past received payment for consulting from Janssen and has received grants from the University of Ottawa Medical Research Fund, The Canadian Institute of Health Research and the American Academy of Psychiatry and the Law Research Foundation.
Lisha Di Gioacchino declares that she has no conflict of interest.
Lisa Murphy declares that she has no conflict of interest.
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This article is part of the Topical Collection on Sexual Disorders
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Fedoroff, J.P., Di Gioacchino, L. & Murphy, L. Problems with Paraphilias in the DSM-5. Curr Psychiatry Rep 15, 363 (2013). https://doi.org/10.1007/s11920-013-0363-6
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DOI: https://doi.org/10.1007/s11920-013-0363-6